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UTILITY PEI�MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDl�R STRFFT, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vn^nv evereitwa org <br />8 <br />� <br />3 Z ��_�p _ ��a��.-�' � <br />PROJECTPDDRESS � <br />���'�2_���Zr.SS��-- _ _��Z�_ _1�.0� ��.,e�� �W <br />?roperty Owner �.ia 1 Atlxess G�y SIa�e1Dp Pncne � <br />I <br />ienant Narne (N Ihis is `o: a commerual busiress) <br />����\\�� � a. _�Yt4"n� O , <br />� l.�v.� z zis' �,�,�� Wp,�gzs2 �� <br />COnlrac�Or r L1a��. �1Caress C[y Sta:e%Lp Phone <br />�-\SP �PS�LS 00 ����1�—F" <br />':A� St e Cr,nirar!or I.icense iJumber (reqwreci City ol Everett 5usiness License Number (required) �. <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Se�+ier Alteration <br />I� Sid�� Se�ver Ne�v Installation <br />[� Inst�ill Ci�ack�vater V��lws (ct�fsicic thi� building) <br />❑ Cap off Sewer <br />❑ Install Water tvieier <br />- -I <br />�[E <br />�_ �OCiO I <br />�-- _=_-- <br />I PERP11T:t <br />- ' u ► so3 -oog � � <br />� -- --- <br />